Floor Exercises Research Articles

Etiological Factors Affecting Female Sexuality: A Systematic Review

Introduction: Evidence suggests that masturbation, genital stimulation, body awareness and movement, pelvic floor exercises, depression, anxiety, positive and negative feelings, personality type, emotional and overall well-being and emotional intelligence have been studied in association with female orgasm through the years. Additionally, healthcare providers of sexual health and most women lack information regarding sexual satisfaction and reaching orgasm. Few studies have addressed this issue. Aim: To systematically study the effect of social, behavioral, and psychological factors on female orgasm. Methods: An extensive search was conducted in PubMed, CINAHL, Google Scholar and Scopus, according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement (PRISMA) guidelines, for relevant articles published between June 2002 and June 2022. Studies in languages other than English were excluded. The following Medical Subject Headings (MeSH) terms were used: female, orgasm, psychological, behavioral, social, sexual. Inclusion criteria concerned studies that sampled adult healthy women, used quantitative methodology and explored factors influencing sexual satisfaction. Results: Out of 531 studies, forty-five were further screened. A total of twenty-one studies were reviewed, most of which were conducted in the USA, Portugal and the United Kingdom. They were followed by Switzerland, Iran, Brazil, Sweden, Canada, Hungary and the Netherlands. Four major themes influencing female sexual satisfaction emerged from the synthesis: psychological disorders, psychological background, genital stimulation, body awareness and movement. Conclusions: The female orgasm was influenced by a number of factors, some of which adversely affected it.

Application of the PBL (Problem-Based Learning) Learning Model in Improving Front Roll Floor Gymnastics Ability at Class VII of SMPN 3 Gerung for the 2023-2024 academic year

The PBL Learning Model is a learning approach that is student-centered and focuses on problem solving. In the context of floor exercise abilities, especially the front roll sub-material. The approach used to improve front roll ability is Problem Based Learning (PBL). By using this approach, students are expected to be able to learn independently to find out good techniques through collaboration between their respective groups. So, from the overall process in this research, the total knowledge results were 2,060, the average knowledge was 79.2, the number of students who completed the study was 26, the percentage of students who completed was 100%, and the percentage of incomplete students was 0%. So, from the recapitulation data, the overall problem-based learning model for floor exercise on roll material has improved with the approach applied by teachers to students at SMPN 3 Gerung for the 2023-2024 academic year.

The Effect of Antenatal Education and Pregnancy Exercises on Delivery Outcomes

Aim: To assess the impact of pregnancy school training and exercises on obstetric outcomes in a tertiary center. Method: We conducted a retrospective evaluation of pregnant women who participated in pregnancy school exercises between January and April 2023 and had term deliveries. These pregnant women received theoretical education, relaxation, and breathing exercises. Pregnant women who did not attend the pregnancy school were included in the control group. Results: In the study group, we evaluated 175 pregnant women who attended prenatal education, while the control group consisted of 175 pregnant women who did not attend prenatal education. The rate of nulliparous patients was 74.9% (n = 131) in the study group and 56.6% (n = 99) in the control group (p < 0.001). The rate of oxytocin augmentation was 28.6% (n = 50) in the study group and 46.9% (n = 82) in the control group (p < 0.001). The episiotomy rate was lower in the study group (41.7% (n = 73)) compared to the control group (54.9% (n = 96), p = 0.014), and the cesarean section rate was also lower in the study group compared to the control group (p = 0.024). Conclusion: Pregnant women who regularly attend pregnancy school in the early weeks experience a significant reduction in the need for episiotomies, oxytocin supplements, and cesarean section rates. These positive outcomes are attributed to the benefits of pelvic floor exercises. Therefore, we recommend encouraging all pregnant women to participate in pregnancy school training in the early weeks to support natural birthing processes.

The Effect of Pelvic Floor Muscle Exercises on Bowel Evacuation and Quality of Life in Following Intestinal Ostomy Closure: Randomized Controlled Trial.

This purpose of this study was to evaluate the effect of pelvic floor muscle exercises (PFMEs) on bowel evacuation problems and health-related quality of life (HRQOL) following ostomy closure. Randomized controlled trial. Forty individuals following ostomy closure consented to participate in the study; 6 participants (15%) did not complete the trial (2 died and 2 required a second ostomy) yielding a study sample of 34. Participants were randomly allocated to an Exercise Group (EG, n =17) and Control Group (CG, n =17). The mean age of the EG was 55.7 (SD 12.6) years, whereas the mean age of the CG was 62.0 (SD 12.1) years. The study setting was the surgery clinic of 4 hospitals in Ankara, Turkey. Data were collected between December 2018 and May 2020. The study intervention, PFME training by a clinician, was administered to participants in the EG; CG participants received no information regarding PFME. Data were collected during face-to-face interviews on the day before discharge and by phone at the first, second, third, and sixth months after surgery. A questionnaire was used for data collection that queried a demographic and pertinent clinical questions, along with the Assessment Form for Bowel Evacuation Habits and Psychosocial Problems, Wexner Scale, and the Short Form (SF-36) Health-related Quality of Life Scale. Descriptive statistics and Mann-Whitney U test, t-test, Pearson-χ2 test, Fisher's Exact test, Friedman test, and Cochran-Q test statistical analysis according to normal distribution were used in data evaluation. The number of defecations in the EG was statistically significantly lower than the CG at the second, third, and sixth months (P =.002, P =.002, P =.001, respectively). In addition, the number of individuals experiencing night defecation was statistically significantly less in the EG compared to the CG at the second-, third-, and sixth-month follow-ups (P =.001, P =.001, P =.028, respectively). HRQOL scores were also significantly higher in the EG. Pelvic floor exercises applied after ostomy closure are effective in reducing bowel evacuation and increasing quality of life. Given these findings, PFMEs are recommended for patients after ostomy closure.

Improving Learning Outcomes Of Front Roll On Floor Gymnastics Through A Game Model In Class IV Students Of Primary School Negeri 70 Lubuklinggau

This study aims to determine the role of the game model in improving the learning outcomes of fourth grade students of SD Negeri 70 Lubuklinggau by analyzing data on learning outcomes obtained from learning in cycle I and cycle II. This research is a classroom action research conducted collaboratively and participatively with peers. The research subjects were fourth grade students of SD Negeri 70 Lubuklinggau in the odd semester of the 2023/2024 academic year, totaling 27 students. The results showed that the teaching and learning process of forward rolling improved from cycle I and cycle II, as evidenced from cycle I the average student activity reached 48.75% with sufficient criteria, cycle II reached 72.5% with good criteria. Cycle I teacher skills reached 57.5% with sufficient criteria, cycle II 73.75% with good criteria. Based on data analysis, it can be concluded that learning front roll floor exercises through a game model can improve student learning outcomes. Initial data obtained from cycle I class average of 66.66% or a total of 18 students who meet the KKM standard of 70, while 9 students or 33.33% have not met the KKM. The average score at the end of cycle II increased to 24 or 88.88% who met the KKM and 3 students or 11.11% below the KKM.

The Effect of The Strength of The Center Muscles on Improving the Level of Technical Performance of Some Stability Movements on the Mat of Floor Movements

The purpose of this research was to determine whether some stability exercises performed on the floor exercise mat to increase core strength would improve the technical application level of students. Method: A sample of 39 young male students from a university (age = 22.1±1.2 years, height = 170.3±6.5 cm, weight 65.2±8.7 kg, Body Mass Index = 22.5±2.8) participated in the study. The participants were into the control group (n=19) and experimental group (n=20) completed pre-tests and post-tests. The CS was assessed by the Stability Movement Push-ups, Abdominals, Back, Pull-ups, Headstand. The results of the paired samples t-tests show that the experimental group had a significant improvement in the mean scores for all four movements on the post-test compared to the pre-test. The mean score for the push-ups increased from 4.9±1.2 to 7.5±1.3 (t(14)=-10.78, p<0.001), the mean score for the abdominals and headstand increased from 4.6±1.0 to 7.0±1.2 (t(14)=-10.14, p<0.001), the mean score for the back and handstand increased from 4.8±1.1 to 6.9±1.2 (t(14)=-7.86, p<0.001), and the mean score for the pull-ups increased from 4.7±1.0 to 7.3±1.1 (t(14)=-11.47, p<0.001). Since the p values of the four movements are lower than 0.001, it is seen that there is a statistically significant difference between the scores obtained in the pre-test and the scores obtained in the post-test. According to the results, working out the core muscles may help enhance the technical execution of stability exercises performed on the mat or floor.

The effect of using mobile phone applications for intelligent pelvic floor rehabilitation on elderly female patients with stress urinary incontinence.

Stress urinary incontinence is prevalent among women and the incidence increases with age. To explore the effect of intelligent pelvic floor muscle rehabilitation on elderly female patients with incontinence. A total of 209 patients with urinary incontinence who were treated with pelvic floor muscle rehabilitation at Peking University International Hospital from September 2020 to January 2022 were selected by convenient sampling. All subjects were divided into the 50-60 year old patient group (n= 51) and over 60 years old patient group according to age (n= 158). The subjects of different age group were divided into an experimental group and a control group. The patients in the control group received routine nursing and health education, and the patients in the observation group received a combination of mobile application use and smart dumbbells. Based on this, we constructed an intervention model for intelligent, continuous pelvic floor rehabilitation. After 7 and 12 weeks, pelvic floor muscle function knowledge and exercise compliance in the two groups were evaluated. The improvement of urinary incontinence symptoms, pelvic floor muscle strength grades and quality-of-life scales were evaluated. The results showed that pelvic floor knowledge and exercise compliance in the experimental group were better than in the control group at 7 and 12 weeks after intervention (P< 0.05). There was no significant difference in pelvic floor muscle strength and quality of life between the two groups at 7 weeks after intervention (P> 0.05). However, there was a significant difference in pelvic floor muscle strength and quality of life between the two groups at 12 weeks after intervention (P< 0.05). There was no significant difference between different age groups. The intelligent pelvic floor rehabilitation model that combines a mobile application with smart dumbbells can maintain and strengthen the clinical treatment effect for elderly patients with urinary incontinence.

Efficacy of Pelvic Floor and Core Stabilization Exercises on Urinary Incontinence in the PostPartum Period

Abstract Aim: This study aims to compare the effectiveness of pelvic floor exercises and core stabilization exercises in the treatment of urinary incontinence in women. Material and Methods: Forty women 1 to 6 months postpartum was recruited. The postpartum women were randomly divided into three groups: 1) pelvic floor exercises group (PFE); 2) core stabilization group (CS), 3) control group (C). Pelvic floor muscle exercises were performed 3 times a day (morning, noon, evening) in 3 different positions (lying on your back, sitting and standing) in PFE group. Participants performed core stabilization exercises 3 days a week for 6 weeks in CS group. Participants did not receive any exercise therapy and continued their routine. Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ7) and Incontinence Severity Index (ISI) were used as outcome measurements. Results: Statistically significant difference was observed in all outcome measures in the PFE and CS group (p&lt;0.05). Also, there was no statistically significant change in outcomes measures in the control group (p&gt;0.05). There was no significant difference between the outcome measures of the PFE and CS groups except for ISI values (p&gt;0.17). UDI-6 and IIQ7 results in the PFE group improved more than in the CS group. When the PFE and control groups were compared, the PFE group was found to be more effective than the control group in terms of all results (p&lt;0.017). Conclusion: Pelvic floor exercises and core stabilization exercises are effective methods for reducing incontinence symptoms in the postpartum period. Pelvic floor muscle training caused more significant changes than core stabilization exercises in postpartum women.

Pelvic Floor Training, a Silent Enhancer of Pulmonary Function: An Integrative Literature Review

Objective: This review delves into the intricate relationship between pelvic floor training and its potential to enhance lung function across diverse health conditions. While the coordination between the pelvic floor and diaphragm is well-established, the specific advantages of pelvic floor strengthening in bolstering pulmonary health necessitate deeper investigation. Despite indications of pelvic floor training’s potential benefits for pulmonary issues, a comprehensive review is imperative to consolidate understanding. Aim: This review attempts to shed light on how pelvic floor activation influences various parameters of pulmonary function. Articles analysing pulmonary function improvements post pelvic floor activation constituted the participant pool for this review. Materials and Methods: An extensive search spanning from 2001 to 2024 across databases like PubMed, Ovid, Cochrane Review, and Physiotherapy Evidence Database (PEDro) unearthed experimental and observational studies. Primary outcome measures included forced expiratory volume in 1 second, forced vital capacity, Peak expiratory flow rate, forced expiratory flow, maximum voluntary ventilation and others. Results: Ten studies meeting inclusion criteria involved healthy subjects, individuals with pelvic floor weakness, and pulmonary impairment. Exercises like Kegels, hypopressive techniques and electrical stimulation, demonstrated positive impacts on pulmonary function parameters. Conclusion: This review underscores the significance of pelvic floor exercises in augmenting lung function. By exploring diverse interventions and their effects on pulmonary health outcomes, it addresses a critical gap in research, potentially informing recommendations for respiratory rehabilitation programs. Insights gleaned from this review hold promise for enhancing pulmonary rehabilitation programs by integrating pelvic floor exercises. Clinical recommendations could benefit from incorporating these findings, thereby optimising patient outcomes.

Stress Urinary Incontinence in Young Female Athletes- From Prevalence to Treatment- A Review

Urinary incontinence is a prevalent issue among females aged 15-65, with prevalence rates ranging from 10% to 55%. Stress Urinary Incontinence (SUI) is the most common form in young athletes, with rates ranging from 0% (golf) to 80% (trampolinists). Activities like jumping, landing, and running can cause leakage due to an increase in intraabdominal pressure. This study aimed to identify management strategies and the prevalence of SUI in teenage female athletes. A literature search was conducted on studies conducted between 1990 and the present, excluding abstracted and non-open access studies. The research found that the chance of urinary stress incontinence in young and nulliparous female athletes in sports ranges from 0% (golf) to 80% (trampolinists). These activities, including gymnastics, long jumps, track and field, and ball activities, significantly impact their standard of existence, psychological situation, and athletic performance. Effective conservative treatment options for SUI include behavioral and lifestyle modifications, pelvic floor exercises, and core strengthening exercises. Female athletes require significantly stronger pelvic floor muscles than inactive females, and contraction of these muscles should occur as the inner core muscles are engaged. Future studies, instruction, and focused therapies are needed for female athletes with SUI.

Development of augmented reality to facilitate floor exercise movement skills for junior high school students

Augmented reality is part of technological developments to help make interactions and learning activities more enjoyable. This research aims to develop augment reality technology to facilitate floor exercises for junior high school students. The final product in this research is an augment reality application that can be installed on a smartphone. This research and development method is adopted from Borg and Gall which is divided into 7 stages, namely the research and data collection stage, planning stage, initial product development stage, initial field trial stage, test results revision stage, field trial stage and product refinement stage , while for data collection using non-test methods (interviews, observation and documentation), and test methods. The subjects in this research involved media experts, gymnastics learning experts, and students of junior high school 1 Karangploso. The results of research on test subjects show that augmented reality floor exercise media can be implemented well with media material validation results getting an average result with a score of 88.75%, media validation getting an average result with a score of 89.75%, expert test users getting the average result was 90%, and the trial results obtained an average of 90.2%. So it can be concluded that AR (Augment Reality) technology media is suitable for use as a floor exercise lesson for Junior High School 1 Karangploso.Keyword: augment reality, floor exercise, front roll, back roll

Efelktivitas media audio visual untuk melningkatkan kelmampuan guling bellakang pada pelmbellajaran selnam lantai

This research aims to find out the extent of the effectiveness of audio-visual media to improve the ability of the back roll movement in the class X floor exercise at SMK Industri Mandiri Karawang. This research method uses quantitative research and research techniques, namely quasi-elkspelrimeln with nonelquivalelnt control group design and sampling techniques using clustelr random sampling. The samples used were X motorcycle business engineering as the experimental class and X industrial electronics engineering as the control class. The population in this study was the entire X class of 152 students. Data collection using SPPS application. Based on the results of the mann-whitnely test value with the "telst statistics" output, it is known that the Asymp .Sig (2-taileld) value is 0.001 &lt;0.05, it can be concluded that Ho is accepted. It has been found that the N-Gain scorel test value is 0.5672 &lt; 0.7, which is included in the moderate category. Then the prelselntasel N-Gain test, the value of selbelsar 56.7193 or selbelsar 56% was found which is included in the moderately effective category. the conclusion that there is an effectiveness of audio-visual meldia to improve the back roll movement on the floor cell learning in class X SMK Industri Mandiri Karawang.

Surgical Technique for Sphinkeeper® Implantation.

Fecal incontinence is a distressing condition characterized by the involuntary loss of solid and liquid stool and gas, It affects a significant proportion of the general population, with a reported prevalence ranging from 1% to 20%. Despite its considerable impact on quality of life, therapeutic options for fecal incontinence remain limited. Current treatment modalities for fecal incontinence include conservative approaches such as dietary modifications, pelvic floor exercises, and pharmacotherapy. Surgical interventions, including sphincteroplasty or sacral nerve stimulation, may be considered in more severe cases. Recently, THD Labs (THD S.p.A. Correggio (RE), Italy) introduced the Gatekeeper® as a novel device that supports the implantation of up to four solid prostheses into the intersphincteric groove. Early data were promising, with success rates above 50% and only a few perioperative complications. Subsequently, Gatekeeper® was modified by increasing the length and number (up to 10) of prostheses, and renamed Sphinkeeper® (THD). With this device, nine to 10 small incisions measuring 2 mm are made at a distance of 2-3 cm from the anus. The intersphincteric space is accessed using the delivery system, and positioning is verified through endoanal ultrasound. This procedure is repeated for all 10 prostheses placed around the entire circumference. The Sphinkeeper® offers the potential to improve the management of fecal incontinence, and offers patients a less-invasive alternative to traditional surgical approaches.

Comparing the Efficacy of Dynamic Neuromuscular Stabilization Exercises and Kegel Exercises on Stress Urinary Incontinence in Women: A Pilot Study.

Background and objective Stress urinary incontinence (SUI) is a prevalent condition affecting women of various age groups, significantly impacting their quality of life. To address this multifaceted issue, a comprehensive approach that goes beyond traditional pelvic floor exercises is needed. Dynamic neuromuscular stabilization (DNS) exercises, targeting the integrated spinal stabilization system, offera promising alternative. Thus, this study aimed to compare the effectiveness of DNS exercises and Kegel exercises in managing SUI among women. Methods This single-blinded, pilot study involved 24 women aged 18-40 years with mild to moderate SUI. Participants were divided into DNS and Kegel exercise groups. Outcome measures included perineometer readings, electromyography (EMG) data, and the Urogenital Distress Inventory-6 (UDI-6). Statistical analysis compared baseline and 12-week data within and between groups, and rank-biserial correlation coefficient (r) as a measure of effect size in our study wascalculated. Results At 12 weeks, the DNS group showed significant improvement in pelvic floor muscle strength compared to Kegel exercises (p = 0.005). Both groups had significantly enhanced pelvic floor muscle strength (p < 0.05). A significant change occurred for EMG average, EMG peak, and EMG maximum voluntary contraction (MVC) at 12 weeks (average p = 0.005; peak p = 0.001; MVC p = 0.009), with significant improvements in both groups (p < 0.05). For UDI-6, a significant difference emerged between the two groups at 12 weeks (p < 0.05), with significant improvements in both groups individually from baseline to 12 weeks (p < 0.05). The effect size "r" for all variables indicated a medium to large effect size, underscoring the substantial and significant impact of DNS exercises in managing SUI among women compared to Kegel exercises. Conclusion This study suggests that DNS exercises, emphasizing the coordinated activation of the diaphragm, abdominals, multifidus, and pelvic floor, may provide a more effective approach for managing SUI in women compared to traditional Kegel exercises.

Validity of a Game-Based Learning Model for Teaching Floor Exercise Roll Basic Techniques to Junior High School Students in Indonesia

The goal of this instructional style is to help students become more proficient at the floor exercise roll by using a game-based approach and other forms of media. The purpose of this research is to provide evidence for the efficacy of a model for teaching the fundamentals of the floor exercise roll through the medium of a video game in junior high school. Three subject matter experts and three media specialists evaluated the research and validated the learning model using a set of established criteria. This study is occuring within the product development phase of the Borg and Gall research and development paradigm. A questionnaire was utilised to obtain data for determining the model's accuracy. Descriptive percentages were used to assess the data. The average model validity ratings found in this research show that the material expert validator is 83.33 percent valid and the media expert validator is 89.4 percent valid. The validity score generated by the combination of the three validators is very high quality. Consequently, it is reasonable to infer that the floor exercise roll basic technique learning model based on a game is genuine and can be applied in the context of school-based sports education. Sports educators and curriculum designers can use the favourable feedback from material and media experts to inform the design of more effective learning models for students to become proficient in floor exercises and fundamental rolling technique

Knowledge, attitude and practice of physical exercises among pregnant women attending prenatal care clinics of public health institutions in Hawassa city, Sidama, Ethiopia, in 2021: descriptive cross-sectional study

BackgroundParticipating in physical exercise enhances the physical and mental health of pregnant women. Preventing excessive weight gain, decreasing gestational hypertension, reducing back pain and labor complications are some of the main benefits of physical exercise during pregnancy and childbirth. Scrutinizing factors associated with sedentary life style among women during pregnancy could aid to design effective strategies to tackle the problem. Despite its benefit, little is explored about knowledge, attitude and practice of physical exercise among pregnant women in the study setting.ObjectiveTo assess prevalence of knowledge, attitude and practice of physical exercise among pregnant women who visit antenatal care at public health facilities of Hawassa town, Ethiopia, in 2023.MethodsFacility based survey was conducted from November-December, in 2021. Data were collected using interview administered and structured questionnaire. Data were cleaned, coded and entered using Epi-data 4.6 and exported into SPSS 25 for analysis. Descriptive statistics was done using frequency count, percentage and mean values of variables. Finally, findings are presented using text, tables and charts.ResultsAll of the study subjects completed interview making a response rate of 100% in this study. The mean adequate knowledge score was 42.2%. Positive attitude towards physical exercise during pregnancy was accounted as 63.7% and proportion of good practice of physical exercise was as 35.8%. Regarding practice of exercise, most (95.9%) of the subjects walk, however; only 11(8.9%) women perform pelvic floor exercise were the highest and least practiced physical exercise. Concerning knowledge of exercise, prevent excess weight 72.1% and increasing energy 53.2% were the commonly known benefits of physical exercise. Breathing difficulty (41.3%), chest pain (39.8%) and premature labor (34.0%) were the predominant perceptions of contra-indication of physical exercise during pregnancy.ConclusionsIn conclusion, the proportion of knowledge, attitude and practice of antenatal exercise is found to be sub-optimum in the study area. Therefore, health education should be enhanced about the benefit of physical exercise during pregnancy.

Patient and Care Provider Perspectives on the Management of Fecal Incontinence: A Qualitative Rapid Review

Patient and Care Provider Perspectives on the Management of Fecal Incontinence: A Qualitative Rapid Review

Development of an Android-based Floor Gymnastic Application as an Alternative Teaching Material for PJOK Mix Learning at SD Negeri 113 Kota Jambi

This study aims to produce a product in the form of an android-based floor exercise application learning at SD Negeri 113 Jambi City. The background of the problem in this study is that some students at school are still not able to do good and correct basic gymnastic movements because some students still do not understand the correct steps of movement so that they experience obstacles in learning. This floor exercise application has been developed accurately, incorporating the latest movements, techniques, and practical, easy-to-use rules in learning. This research was conducted at Public Elementary School 113 with research subjects namely students of SD N 113 Jambi City. The research method used is the ADDIE model development research. The steps of this research start from analysis, design, development, implementation to evaluation. The results of the analysis of the research data show that the percentage score of the product trials carried out is 80% to 90% in the good category so that it can be concluded that this android-based floor gymnastics application product is suitable for use by students and teachers, especially sports.

Patients' Acceptability and Satisfaction With Teleconsultation for Pelvic Floor Exercises for Stress Urinary Incontinence During COVID-19

ObjectivesThis was the first urogynaecology specialty nurse teleconsultation offered by a public hospital during COVID-19 for learning pelvic floor exercises. This study assessed patients’ perception, acceptance, and satisfaction using 2 validated questionnaires. MethodsIn total, 25 patients with stress urinary incontinence attended the teleconsultation via videoconferencing in April 2022, and completed the Telemedicine Perception Questionnaire (TMPQ) and Telemedicine Satisfaction Questionnaire (TSQ). The TMPQ was a 17-item, 5-point Likert scale questionnaire for assessing the acceptability of telemedicine. The TSQ was a 14-item, 5-point Likert scale questionnaire for assessing satisfaction with teleconsultation. The higher the score, the greater the acceptance and satisfaction. Information on demographics, symptom severity by Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7, internet access, and transport arrangements were included. ResultsParticipants had a mean age of 54.6 ± 7.37 years. Their mean Urogenital Distress Inventory-6 score was 40.60/100 (SD = 17.83) and Impact Questionnaire-7 was 27.90/100 (SD = 19.83). Pre-teleconsultation mean TMPQ score was 59.16 ± 5.78/85. Post-teleconsultation mean score was 64.92 ± 5.21/85, which was 3.64 higher (t = 3.642, df = 24, P = 0.001), indicating a significant increase in positive perception and acceptability. There were fewer concerns with the usage (P = 0.017) and reliability (P = 0.003) of technology, while there was increased agreement that teleconsultation is cost-saving for the health care system (P = 0.003) and offers easier access to health care providers (P = 0.006) after the teleconsultation. Mean TSQ score was 59.85 ± 9.46/70. ConclusionOur pilot study demonstrated positive perception, high acceptability, and satisfaction from patients’ first teleconsultation experience. Further multi-centre studies with the inclusion of a control group would help in understanding patients’ needs and for service planning.

Use of a Digital Conversational Agent for the Management of Overactive Bladder.

Conservative therapy is effective for the treatment of overactive bladder (OAB) but may be limited by accessibility to care. The objective of this study was to evaluate the efficacy of a digital conversational agent (CeCe) for the treatment of OAB. This was a prospective observational trial utilizing a digital conversational agent developed by Renalis University Hospitals (Cleveland, Ohio) for the treatment of OAB. Patients were given access to CeCe over an 8-week period and were instructed on how to perform bladder training and pelvic floor exercises and taught about bladder health. The primary outcome was a decrease in the International Consultation on Incontinence-Overactive Bladder Quality-of-Life Questionnaire (ICIQ-OAB-QoL) score from week 1 to week 8. Patients also completed the 36-item Short-Form Health Survey and Generalized Anxiety Disorder Questionnaire at the same intervals and voiding diaries at weeks 1, 4, and 8. A power analysis was performed and determined that a total of 30 patients would be needed to demonstrate a significant difference in symptom scores after use of CeCe with 80% power and an α error of 5%. Twenty-nine patients completed all data collection. The ICIQ-OAB-QoL scores were significantly different between weeks 1 and 8 (62 [IQR], 49-75) vs 32 [IQR, 24-43]; P < 0.001). Patients also reported a decrease in frequency pretreatment and posttreatment (7 [IQR, 6-10] vs 5 [IQR, 4-7]; P = -0.04), nocturia (2 [IQR, 1-3] vs 1 [IQR, 1-2]; P = 0.03), and urge urinary incontinence (2 [IQR, 1-5] vs 0 [IQR, 0-3]; P = 0.04). Consumption of alcohol decreased from week 1 to week 8 (24 oz [IQR, 12-36 oz) to 14 oz (IQR, 9-22 oz]; P = 0.02). The use of a digital conversational agent effectively reduced the severity of symptoms and improved quality of life in patients with OAB.